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1003328154
PATRICE A BEANER
SHREVEPORT, LA
NPI
1003328154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-30
Last Update Date
2018-04-20
Business Address
Mrs. PATRICE A BEANER
2800 YOUREE DR STE 482
SHREVEPORT, LA 71104-3666
Phone number: 318-455-9030
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Mailing Address
Mrs. PATRICE A BEANER
431 ABILENE ST
SHREVEPORT, LA 71106-5027
Phone number:
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